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Evaluation of the economic impact of a national lymphoedema service in Wales

Published on Nov 9, 2017in British journal of nursing
· DOI :10.12968/bjon.2017.26.20.1093
Ioan Humphreys10
Estimated H-index: 10
,
Melanie J Thomas3
Estimated H-index: 3
Abstract
Lymphoedema Network Wales has focused on maximising the impact of its service through the effective use of available resources to ensure high-quality and consistent care for people with lymphoedema across Wales. The aim of this evaluation was to estimate the economic impact of a national lymphoedema service on the NHS Wales budget. Work was undertaken to determine the care pathway within Lymphoedema Network Wales and develop a hypothetical ‘world without’ the service as a comparator. The four groups of patients that made up the pathways were group 0: ‘at risk’, group 1–2: ‘uncomplicated lymphoedema’, group 3: ‘complicated/complex’ and group 4: ‘palliative care’. Overall resource utilisation between 6 months pre- and 6 months post-entry indicated that there were significant cost reductions to be seen after lymphoedema service entry for all patients in each group. This evaluation provides estimates that suggest that the service is likely to be cost saving when people with lymphoedema are managed within Lymp...
  • References (9)
  • Citations (2)
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References9
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Lymphoedema Network Wales was developed in 2011, after receiving a £1 million recurring investment from the Welsh Government to implement its Lymphoedema Strategy. This article describes the creation of the network and the importance of capturing performance data. It will also provide information on the three programmes of work, covering service development, education and research, and innovations and technology. Within Wales, the focus of lymphoedema service delivery is on ‘prudent health care’...
3 CitationsSource
#1Tessa Watts (Swansea University)H-Index: 9
#2Ruth Davies (Swansea University)H-Index: 9
Aim The aim of this study was to explore people's experiences of living with lymphoedema and to assess the impact of access to local lymphoedema clinics on their condition and thus their lives. Background A chronic condition caused by reduced lymphatic function, lymphoedema leads to swelling, pain and mobility problems and can adversely affect quality-of-life. It is of international concern as its prevalence is rising. Yet lymphoedema awareness is limited, diagnostic delay common and access to s...
10 CitationsSource
#1Nicole L. StoutH-Index: 18
#2R. WeissH-Index: 1
Last. Ya-Chen Tina ShihH-Index: 17
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A project of the American LymphedemaFramework Project (ALFP), this review seeksto examine the policy and economic impactof caring for patients with lymphedema, acommon side effect of cancer treatment. Thisreview is the first of its kind undertaken toinvestigate, coordinate, and streamlinelymphedema policy initiatives in the UnitedStates with potential applicability worldwide.As part of a large scale literature reviewaiming to systematically evaluate the level ofevidence of contemporary peer-revi...
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#1Nicole L. StoutH-Index: 18
#2Lucinda Pfalzer (UM: University of Michigan)H-Index: 8
Last. Peter W. Soballe (NMCSD: Naval Medical Center San Diego)H-Index: 4
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Secondary prevention involves monitoring and screening to prevent negative sequelae from chronic diseases such as cancer. Breast cancer treatment sequelae, such as lymphedema, may occur early or late and often negatively affect function. Secondary prevention through prospective physical therapy surveillance aids in early identification and treatment of breast cancer–related lymphedema (BCRL). Early intervention may reduce the need for intensive rehabilitation and may be cost saving. This perspec...
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Abstract Patients with lymphedema experience multiple psycho-social problems. Healthcare professionals who deal with patients who have venous disease, lymphatic malformations, or secondary lymphedema are uniquely positioned to help address psycho-social issues in these patients. To address these concerns in practice settings, it is necessary to become familiar with the lymphatic system and to approach patients with compassion based upon an understanding of the difficulties and frustrations they ...
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#1Ya-Chen Tina ShihH-Index: 17
#2Ying Xu (University of Texas MD Anderson Cancer Center)H-Index: 14
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Purpose This study estimated the economic burden of breast cancer–related lymphedema (BCRL) among working-age women, the incidence of lymphedema, and associated risk factors. Methods We used claims data to study an incident cohort of breast cancer patients for the 2 years after the initiation of cancer treatment. A logistic regression model was used to ascertain factors associated with lymphedema. We compared the medical costs and rate of infections likely associated with lymphedema between a wo...
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#1Philip A Morgan (UWL: University of West London)H-Index: 9
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This article reviews qualitative and quantitative studies that evaluate health-related quality of life (HRQoL) in lymphoedema. Qualitative studies reveal a number of factors that can affect HRQoL. These include a lack of understanding of lymphoedema by health professionals and poor information provided to patients. Emotional responses include shock, fear, annoyance, frustration and negative body image. Treatment can be costly in terms of time and disruption to lifestyle. Quantitative studies sho...
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